Organization
ELITE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BENNETT (EXECUTIVE DIRECTOR)
(704) 982-4068
Entity
Organization
Contact information
Practice address
2000 W MAIN ST STE D, ALBEMARLE, NC 28001-5446
(704) 982-4068
Mailing address
2000 W MAIN ST STE D, ALBEMARLE, NC 28001-5446
(704) 982-4068
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601932
—
NC
Enumeration date
05/18/2015
Last updated
05/18/2015
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